Organization
OB/GYN UNIVERSITY ASSOCIATES - TODD CANCER INSTITUTE PAVILION LONG BEA
Active
Parent organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Organization subpart
Yes
Provider details
NPI number
Legal business name
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Authorized official
DR. MANUEL PORTO M.D. (PRESIDENT)
(714) 456-2986
Entity
Organization
Contact information
Practice address
2810 LONG BEACH BLVD, LONG BEACH, CA 90806-1558
(562) 933-2824
(562) 933-2829
Mailing address
PO BOX 513980, LOS ANGELES, CA 90051-3980
(714) 456-6431
(714) 456-7754
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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